Provider Demographics
NPI:1851674030
Name:YOUNG H. NO DDS PC
Entity Type:Organization
Organization Name:YOUNG H. NO DDS PC
Other - Org Name:CT DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YOUNG
Authorized Official - Middle Name:H
Authorized Official - Last Name:NO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:212-619-8188
Mailing Address - Street 1:59 E BROADWAY
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-6804
Mailing Address - Country:US
Mailing Address - Phone:212-619-8188
Mailing Address - Fax:212-619-8388
Practice Address - Street 1:59 EAST BROADWAY
Practice Address - Street 2:4TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-6804
Practice Address - Country:US
Practice Address - Phone:212-619-8188
Practice Address - Fax:212-619-8388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-23
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049706122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty